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COMPLIANCE INFO_2026
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ELLIOTT
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1600 - Food Program
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PR0546753
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COMPLIANCE INFO_2026
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Entry Properties
Last modified
7/16/2026 10:39:29 PM
Creation date
7/14/2026 4:34:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2026
RECORD_ID
PR0546753
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0026501
FACILITY_NAME
ELLIOTT ROAD BARN
STREET_NUMBER
23228
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
23228 N ELLIOTT RD ACAMPO 95220
Tags
EHD - Public
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January 28, 2026 Lab No. <br />Customer No. <br />z <br />Laboratory Report <br />Introduction: This report package contains a total of 4 pages divided into 4 sections: <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br />01/22/2026 STK2631023-001Wellhead01/22/2026 DW <br />Sampling and Receipt Information: <br />Preparation and analysis performed by FGL-Santa Paula (FGL-SP ELAP# 1573) <br />KD: MKH <br />Page 1 of 4Section: Case Narrative <br />Date ReceivedSample Description Date Sampled FGL Lab No.Matrix <br />Quality Control: All samples were prepared and analyzed according to established quality control criteria. Any exceptions are noted <br />in the Quality Control Section of this report. <br />Certification: 1 certify that this data package is in compliance with ELAP standards, both technically and for <br />completeness, except for any conditions listed above and in the QC Section. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic signature. This <br />report shall not be reproduced except in full, without the written approval of the laboratory. <br />The Sample was received in acceptable condition and within temperature requirements, unless noted on the Condition <br />Upon Receipt (CUR) form. The Sample was received, prepared and analyzed within the method specified holding times. <br />All samples arrived at 5.1 0 C. All samples were checked for pH if acid or base preservation is required (except for <br />VOAs). For details of sample receipt information, please see the associated Chain of Custody and Condition Upon <br />Receipt Form. <br />Case Narrative <br />Sample Results <br />Interpretation <br />Quality Control <br />(1 page) <br />(1 page) <br />(1 page) <br />(1 page) <br />: An overview of the work performed at FGL. <br />: Results for each sample submitted. <br />: Drinking water Inteipretation for each sample submitted. <br />: Supporting Quality Control (QC) results. <br />: STK2631023 <br />: 3016059 <br />Test Summary <br />SM 4500-N03 F <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: (805)392-2000 <br />CA ELAP Certification No. 1573 <br />Keith Gross Wells & Pumps <br />PO Box 178 <br />Lockeford, CA 95237 <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico. CA 95926 <br />TEL: (530)343-5818 <br />CA ELAP Certification No. 2670 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />CA ELAP Certification No. 2775 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL (209)942-0182 <br />CA ELAP Certification No. 1563 <br />Page 1 of 4 <br />Office & Laboratory <br />9411 W. Goshen Avenue <br />Visalia. CA 93291 <br />TEL. (559)734-9473 <br />CA ELAP Certification No. 2810 <br />EnVIROHMEHTAL^^F AGRICULTURAL <br />Analytical Chemists <br />Digitally signed hy Kelly A Dunnahoo, B.S <br />Approved By Kelly A. Dunnahoo, B.S. Title: Laboratory Dlroctor
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